Culture, bacterial
Facility: National Jewish Health
Billing Code: 87070 (CPT)
This hospital's typical commercial price is $10 compared to the $9 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 CO hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CO hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Culture, bacterial is about $9 (about 1.0× the $9 Medicare rate). National Jewish Health charges insurers about $10, or about $88 in cash — about the fair price. Located in Denver, CO.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $10 | 116% |
| Blue Cross Blue Shieldmajor | $9 - $94 | 104% |
| Aetnamajor | $9 - $88 | 104% |
| Cignamajor | $64 - $100 | 742% |
| Humanamajor | $10 - $81 | 116% |
| Kaiser Permanentemajor | $10 - $106 | 116% |
| SelectHealth | $9 - $18 | 104% |
| + 1 smaller / regional plan | $94 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at National Jewish Health
Compare: Culture, bacterial at other CO hospitals
- Mercy Regional Medical Center · Durango $8
- St Elizabeth Hospital · Fort Morgan $8
- St Anthony Summit Medical Center · Frisco $8
- Intermountain Health Platte Valley Hospital · Brighton $9
- Montrose Regional Health · Montrose $9
- Lutheran Medical Center · Wheat Ridge $9
- Poudre Valley Hospital · Fort Collins $9
- HCA Healthone Presbyterian St Luke's · Denver $9
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at National Jewish Health (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $45
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $45).
Self-Pay Cash Rate ($88) Beats Your Bill
National Jewish Health's published 45 CFR § 180 self-pay cash rate is $88 (vs. $10 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $9 Fair BaseRate ($9 Medicare)
Your bill ($125) is $116 above the denoised Fair BaseRate ($9) and 13.9× the $9 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.